New Hampshire · Nonprofit
Ammonoosuc Community Health Services Inc
Ammonoosuc Community Health Services Inc (New Hampshire) receives grants from 14 organizations whose IRS filings report $901,916 to it, the largest being Bi-State Primary Care Association Inc ($491,606). 9 of them have funded it in more than one year.
- Revenue FY2025
- $13M
- Funders on record
- 14
- Grants received
- $902k
- Net assets
- $9.5M
What Ammonoosuc Community Health Services Inc does
Mission
It is the mission of Ammonoosuc Community Health Services to provide a stable network of comprehensive Primary Health Care Services to individuals and families throughout the communities we serve. In support of this mission, ACHS provides evidence based, outcome specific, systematic care that is patient centered, focused on prevention, and accessible and affordable to all.
As stated on its FY2025 Form 990.
Program
Primary Care - To provide medical and educational services to the local community.Clinical Pharmacy Services - To provide assistance to ACHS patients to better understand and manage their medications.
$8,962,091 spent$8,562,248 earned by the program100% of program spending
The program described on its FY2024 Form 990. Program spending in total: $8,962,091.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $7.3M to $9.9M (+36%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 21% · 2018 21% · 2019 24% · 2020 28% · 2021 40% · 2022 40% · 2023 30% · 2024 31% · 2025 24%. Grants only. Government contracts and fees sit inside program revenue.
32% of Ammonoosuc Community Health Services Inc’s revenue is contributions — more donation-reliant than the typical peer (7% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Edward Shanshala
CEO
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 2 funders to 5 funders, grant income rose $13k → $298k.
2 of 14 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 5% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
From the IRS filings of Ammonoosuc Community Health Services Inc’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
Ammonoosuc Community Health Services Inc leans on a few funders — its largest provides 55% of grant income and the top three 73%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
92% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund Ammonoosuc Community Health Services Inc.
Largest funder’s share by year: 2017 56% · 2018 76% · 2019 100% · 2020 57% · 2021 87% · 2022 88% · 2023 92% — growing more concentrated.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
38% of Ammonoosuc Community Health Services Inc's funders are still giving 3 years after their first grant; 64% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
81% of Ammonoosuc Community Health Services Inc's grant income comes from New Hampshire funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $49k arriving through sponsors registered in 2 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
Ammonoosuc Community Health Services Inc runs a healthier operating margin than half of the 2,843 health nonprofits its size.
this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025
Government funding Ammonoosuc Community Health Services Inc receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $30.9M on record.
- Department of Health and Human Services$30.9M
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like Ammonoosuc Community Health Services Inc
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In New Hampshire
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
77% of spending goes to programs.
Governance
Public support
99%
Share of support from the public (Schedule A) — the basis for its public-charity status.
Footprint & structure
Files a return copy in 1 state
Screen this organization
A dated, signed PDF of the compliance screen for Ammonoosuc Community Health Services Inc: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds Ammonoosuc Community Health Services Inc?
- Ammonoosuc Community Health Services Inc (New Hampshire) receives grants from 14 organizations whose IRS filings report $901,916 to it, the largest being Bi-State Primary Care Association Inc ($491,606). 9 of them have funded it in more than one year.
- How many funders does Ammonoosuc Community Health Services Inc have?
- IRS filings report 14 organizations giving $901,916 in grants to Ammonoosuc Community Health Services Inc, 9 of which have funded it in more than one year.
- Who is the largest funder of Ammonoosuc Community Health Services Inc?
- Bi-State Primary Care Association Inc is the largest funder on record, with $491,606 in grants. The full list of funders is on this page.
- How can an organization like Ammonoosuc Community Health Services Inc find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in New Hampshire. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
Play a game about who funds Ammonoosuc Community Health Services →
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 14 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing